Unique Plan Description: ED Rabies
Plan Selection Display: ED Rabies
PlanType: Medical                                 
Version: 2          
Begin Effective Date: 2020-04-14 22:50:00
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2024-09-18 11:51:53
Available at all facilities: Yes

ED Rabies
Medications
		Post-exposure prophylaxis - Non-Immunized:(NOTE)*
	HyperRAB
		20 IU/kg, Injection, IntraDERMAL, Once
			Comment: Should be infiltrated around bite wounds if possible, any remaining volume should be given IM at an anatomical site distant from vaccination site
	Imovax Rabies
		2.5 intl_units, Injection, IM-IntraMUSCULAR, Once
	RabAvert
		2.5 intl_units, Injection, IM-IntraMUSCULAR, Once
		Post-exposure prophylaxis - Previously Immunized:(NOTE)*
	Imovax Rabies
		2.5 intl_units, Injection, IM-IntraMUSCULAR, Once
	RabAvert
		2.5 intl_units, Injection, IM-IntraMUSCULAR, Once
		 For patients who have already received the Tdap vaccine(NOTE)*
	tetanus-diphth toxoids (Td) adult/adol
		0.5 mL, Injection, IM-Intramuscular, Once, STAT
		For patients who have never received the Tdap vaccine(NOTE)*
	Adacel (Tdap) intramuscular suspension
		0.5 mL, Suspension-Injection, IM-IntraMUSCULAR, Once, STAT
	Boostrix (Tdap) intramuscular suspension
		0.5 mL, Suspension-Injection, IM-Intramuscular, Once, STAT
		Rabies Vaccinated Protocol Day 3(NOTE)*
	rabies vaccine, purified chick embryo cell
		2.5 intl_units, Injection, IM-Intramuscular, Once, T;N
	rabies vaccine, human diploid cell
		2.5 intl_units, Injection, IM-Intramuscular, Once, T;N
Consults/Follow-up
	Notify Methodist Infusion Therapy
		Reason for Referral: rabies
	Notify Fremont Infusion Therapy
		T;N
			Comment: Rabies Exposure
	Consult Hospitalist
		Reason for Referral: rabies
	Notify MJE Access Scheduling
		Reason for Referral: rabies
	Consult Infectious Disease
		Reason for Referral: rabies

Rabies Exposure Protocol
Medications
		Day 0(NOTE)*
	rabies vaccine, purified chick embryo cell
		2.5 intl_units, Injection, IM-Intramuscular, Once
			Comment: Do not give in same site as immune globulin
	rabies vaccine, human diploid cell
		2.5 intl_units, Injection, IM-IntraMUSCULAR, Once
			Comment: Do not give in same site as immune globulin
	rabies immune globulin, human
		20 IU/kg, Injection, IM-Intramuscular, Once
			Comment: Should be infiltrated around bite wounds if possible, any remaining volume should be given IM at an anatomical site distant from vaccination site.
		Day 3(NOTE)*
	rabies vaccine, purified chick embryo cell
		2.5 intl_units, Injection, IM-Intramuscular, Once, T+3;0900
	rabies vaccine, human diploid cell
		2.5 intl_units, Injection, IM-IntraMUSCULAR, Once, T+3;0900
		Day 7(NOTE)*
	rabies vaccine, purified chick embryo cell
		2.5 intl_units, Injection, IM-Intramuscular, Once, T+7;0900
	rabies vaccine, human diploid cell
		2.5 intl_units, Injection, IM-IntraMUSCULAR, Once, T+7;0900
		Day 14(NOTE)*
	rabies vaccine, purified chick embryo cell
		2.5 intl_units, Injection, IM-Intramuscular, Once, T+14;0900
	rabies vaccine, human diploid cell
		2.5 intl_units, Injection, IM-IntraMUSCULAR, Once, T+14;0900
		For immunocompromised patients, order additional dose - Day 28(NOTE)*
	rabies vaccine, purified chick embryo cell
		2.5 intl_units, Injection, IM-Intramuscular, Once, T+28;0900
	rabies vaccine, human diploid cell
		2.5 intl_units, Injection, IM-IntraMUSCULAR, Once, T+28;0900
Consults/Follow-up
	Notify Methodist Infusion Therapy
		Reason for referral: Rabies

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase